If your adult child has a developmental disability and is ready for more independence during the day, Nebraska’s DDAD Waiver may be the next step after school or the Family Support Waiver. Alora Supports works with families across Nebraska to put DDAD Waiver services to use.
Every service on the waiver is designed to build skills for daily life and support real jobs in the community, not to replace a family’s role.
The Developmental Disabilities Adult Day (DDAD) Waiver is a home and community-based services Medicaid waiver for Nebraska adults 21 and older with a developmental disability who want to build independence through adult day services and work in their community.
Unlike Nebraska’s Family Support Waiver, which uses a flat yearly budget, DDAD funding is called an Individual Budget Amount and is based on an assessment of each participant’s needs.
That flexible approach supports Alora’s broader commitment to providing day services for disabled adults, with plans built around each person’s goals rather than a standard schedule.
To qualify for the DDAD Waiver in Nebraska, a participant generally needs to meet each of the following:
Nebraska eliminated its developmental disabilities waitlist in 2025, so adults no longer wait years on a registry before applying. If you’re unsure whether your loved one qualifies, Alora can walk through the requirements with you.
Be 21 years of age or older
Be a Nebraska resident
Have a diagnosed developmental disability
Qualify for Nebraska Medicaid, or apply for it at the same time as the waiver
Meet the level of care required for an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID)
The DDAD Waiver in Nebraska funds a defined list of services, each meant to support daily life and steady work in the community.
Assistive technology
Day services
Home and vehicle modifications
Independent living
Supported family living
LRI personal care
Personal Emergency Response System (PERS)
Respite
Vocational services
Nebraska defines adult day services as meaningful, community-based activities that support daily living skills, health, and social connection. Because DDAD is not a residential waiver, it does not cover 24-hour care or shared living placements.
Alora Supports is a clinician-owned provider helping Nebraska adults access day services for disabled adults funded by the DDAD Waiver.
Through Direct Support Services, Alora provides independent living skill-building, respite, and vocational support funded by the waiver. Plans are shaped around each person’s goals, with the same team staying involved as needs change over time.
Families can apply for the DDAD Waiver in Nebraska online through iServe, or by phone or mail through the Nebraska Department of Health and Human Services (DHHS).
After you apply, DHHS confirms Medicaid eligibility and schedules a level of care assessment before services begin.
No. Nebraska eliminated its developmental disabilities waitlist in 2025. Adults can apply directly instead of waiting years for an opening.
The DDAD Waiver focuses on adult day services and employment support for adults 21 and older. Nebraska’s Comprehensive Developmental Disabilities (CDD) Waiver offers similar services plus residential support.
At 21, most participants move from the Family Support Waiver to either the DDAD Waiver or the CDD Waiver, depending on their needs. Alora can help your family plan for that transition ahead of time.
No. The DDAD Waiver supports daytime independence and employment, not residential placements. Families exploring residential support can ask Alora about the CDD Waiver or Shared Living.
Alora Supports builds day services for disabled adults around your loved one’s goals. Reach out to get started.
